INSURANCE REIMBURSEMENT RATES

Plain English Breakdown

The source material confirms the bill passed both chambers but does not list a specific effective date or governor's signature status beyond 'Passed Legislature' and 'Heard & Held' as last action.

SB 266: Minimum Payment for Out-of-Network Health Care

This bill requires health care insurers in Alaska to pay non-network providers at least 75% of the median rate paid to network providers for the same service.

What This Bill Does

• Requires insurers to reimburse non-network providers for services or supplies.
• Sets a minimum payment amount equal to 75 percent of the median reimbursement rate given to network providers for the same service.
• Calculates this amount based on the insurer's current rates within Alaska at the time the care is delivered.

Who It Names or Affects

• Health care insurers operating in Alaska
• Non-network health care providers

Limits and Unknowns

• The bill defines 'health care insurer' by referring to another law (AS 21.54.500) rather than defining it directly.
• The effective date of the legislation is not provided in the source material.

Official Summary Text

INSURANCE REIMBURSEMENT RATES
An Act relating to reimbursement for non-network health insurance claims.

Current Bill Text

SB0266A -1- SB 266
New Text Underlined [DELETED TEXT BRACKETED]

34-LS1514\A

SENATE BILL NO. 266

IN THE LEGISLATURE OF THE STATE OF ALASKA

THIRTY-FOURTH LEGISLATURE - SECOND SESSION

BY SENATOR CLAMAN

Introduced: 2/23/26
Referred: Labor and Commerce, Health and Social Services

A BILL

FOR AN ACT ENTITLED

"An Act relating to reimbursement for non-network health insurance claims." 1
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 2
* Section 1. AS 21.36 is amended by adding a new section to read: 3
Sec. 21.36.497. Non-network health insurance claims. A health care insurer 4
shall reimburse a non-network health care provider for a health care service or supply 5
in an amount that is at least 75 percent of the median reimbursement rate paid to a 6
network health care provider for the same health care service or supply based on the 7
health care insurer's network rates in the state at the time of delivery of the health care 8
service or supply. In this section, "health care insurer" has the meaning given in 9
AS 21.54.500. 10